Korean Circ J.  2020 Nov;50(11):1043-1044. 10.4070/kcj.2020.0081.

Rediscover a Missed Culprit Lesion with Optical Coherence Tomography in Acute Coronary Syndrome: a Simple Stationary Pullback Method

• Sahayo BJ
• Mishra S
• Kim SW
• Dambalkar A
• Phan QT
• Won H
• Cho JH
• Lee WS

• KMID: 2508284
• DOI: http://doi.org/10.4070/kcj.2020.0081

Figure

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  Figure 1 (A) Diagnostic CAG showed an insignificant stenosis with vague plaque ulceration in the proximal RCA (asterisk). (B-G) Cross-sectional OCT imaging with the conventional pullback showing a white thrombus without any evidence of plaque disruption (arrow). (H) Cross-sectional OCT imaging of the ROI showing a white thrombus (arrow) and tiny plaque rupture (arrowheads). (I) Three-dimensional OCT imaging demonstrating a white thrombus (arrow), (J) Longitudinal OCT imaging of the conventional pullback showing a white thrombus (arrow). (K) Longitudinal OCT imaging using the stationary pullback.CAG = coronary angiography; OCT = optical coherence tomography; RCA = right coronary artery; ROI = region of interest.

Reference

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